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		<div id="chemin">Vous &ecirc;tes ici :<a href="index.php">Accueil boutique</a> / Newsletter</div>
		
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			<h2>#DC_NEWSLETTER_BASIC_LANG_TITRE</h2>
    		<p><span>#DC_NEWSLETTER_BASIC_MSG[#DC_NEWSLETTER_BASIC_MSG_TXT]</span></p>
        	<form id="newsletter" name="newsletter" method="post" action="newsletter.php">
        		<p>
                	<label for="email">#DC_NEWSLETTER_BASIC_LANG_EMAIL * :</label>
                	<input type="text" id="email" name="dc_newsletter_basic_email" value="" />
                </p>
                <p>
                	<label for="nom">#DC_NEWSLETTER_BASIC_LANG_NOM :</label>
                	<input type="text" id="nom" name="dc_newsletter_basic_nom" />
                </p>
                <p>		
                	<label for="prenom">#DC_NEWSLETTER_BASIC_LANG_PRENOM :</label>
                	<input type="text" id="prenom" name="dc_newsletter_basic_prenom" />
                </p>
                <p>
                	<label for="action">#DC_NEWSLETTER_BASIC_LANG_CHOIX * :</label>
                	<select name="action" size="1">
            			<option value="">#DC_NEWSLETTER_BASIC_LANG_CHOISISSEZ ...</option>
            			<option value="dc_newsletter_basic_ajouter" selected="selected">#DC_NEWSLETTER_BASIC_LANG_ABONNER</option>
            			<option value="dc_newsletter_basic_supprimer">#DC_NEWSLETTER_BASIC_LANG_DESABONNER</option>
            		</select>
                </p>
				<p class="derniereLigne">
                    	<button class="bouton" type="submit" >
                    		<span ><span>#DC_NEWSLETTER_BASIC_LANG_VALIDER</span></span>
                    	</button>
                </p>
                <span class="obligatoire">
                		#DC_NEWSLETTER_BASIC_LANG_OBLIGATOIRE
				</span>
				<input type="hidden" name="dc_newsletter_basic_langue" value="#LANG" />
			</form>
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